The Mecklenburg County Local Management Entity (LME) has the responsibility of monitoring all providers of Mental Health, Developmental Disabilities and Substance Abuse services in accordance with rules, regulations and procedures set forth by the North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services (MH/DD/SAS).
The purpose of Provider Relations is to provide monitoring and technical assistance for compliance with contractual and agreement requirements.
The Quality Improvement Division assists the Local Management Entity (LME), the Provided Services Organization (PSO) and MeckCARES to continuously improve services to consumers. Core elements involved with the quality improvement process are:
Access and Services: Do consumers have access to the care and service they need? Does Area Mental Health resolve grievances quickly and fairly?
Qualified Providers: Are the qualifications and credentials of all providers checked carefully?
Staying Healthy: Helping consumers to maintain good health and avoid illness.
Getting Better: How well do the LME, the PSO and MeckCares care for consumers when they become sick?
Living with Illness: How well does the LME, the PSO and MeckCares help consumers to manage chronic illness?
Jan Sisk 704-621-1982
Carol Goerner 704-336-7109
Nancy Cody 704-336-6027
Jim Cunningham 704-336-4906
Paula Cox 704-432-4267
Catherine Torrence 704-432-4292
Cindy Jeffcoate 704-432-0146
Evelyn Cross 704-432-3058
Linda Margerum 704-336-7187
The Utilization Management department oversees all state funded clinical services provided by the LME’s contracted providers and conducts preauthorization and concurrent reviews in order to evaluate the consumer’s clinical situation and determine the medical necessity of the requested services.
For additional information or support, please call MeckLINK at 704-336-6404.
Providers with questions regarding payment requests submitted to the LME or questions about amounts paid should contact James Hamm at 704-336-5626.